Suchergebnisse

In comparison to mothers, there is a lack of research on fathers with a mental illness. Consequently, 11 men with a mental illness were interviewed about their parenting experiences and needs. Although none of the participants were living full time with their children, fatherhood was considered an important part of their self-image. However, the stigma associated with mental illness, as well as men's fear of losing access to their children, meant that they "suffered in silence." Many described an overemphasis on their pathology in the community, with some reporting that their mental illness was used as a way of keeping them away from their children. Implications for practice conclude the article.

Parenting is a fundamental life domain with increasing evidence suggesting the parenting role has the capacity to inform and promote mental health recovery. Two reviews examined the current tools available to assess parenting in the context of recovery. Review one identified 35 quantitative measures of parenting used in interventions for parents with mental health problems. None of these measures appeared to consider parenting from a recovery orientation. Review two identified 25 measures of personal recovery; however, none appeared to consider the parenting role. Despite the fundamental life role of parenting, our ability to measure these constructs appears limited. Further research is warranted into the development of a measure of recovery that considers the parenting role.

AbstractThis study examined the utility of a digital video disc (DVD) intervention, designed to educate children, whose parents have depression and/or anxiety. Twenty‐nine children completed pre‐ and post‐DVD exposure questionnaires, on mental health knowledge and help seeking, and 18 were interviewed about their experiences and use of the DVD. Post‐DVD, children's knowledge of mental illness improved. The DVD also challenged mental illness misconceptions. Most children preferred watching the DVD with a parent. The study explains how children utilize information about mental illness.

AbstractGoal setting is an important element within mental health recovery models; however, parenting and children are rarely recognized in such approaches. This study outlines a family recovery planning model where a parent has a mental health or dual substance and mental health problem. The differences between family types (parent with a mental illness or parent with dual diagnosis) and family members (parent and children) are illustrated in terms of goals across 11 domains. There were a total of 33 parents and 50 children from 10 mental illness and 10 dual diagnosis families. Education and specifically mental health knowledge are important goals across all families and appear especially important for children whose parent has a dual diagnosis. Specific goals and achievement levels for each type of family and parents and children are also outlined. Clear areas for action by clinicians and family members are indicated by this study.

Purpose: The integration of health or social services is an enduring challenge and especially so in relation to people experiencing "dual diagnosis", the co-occurrence of mental health and substance use problems. The emergence of the "dual diagnosis" concept has highlighted the tension between specialist treatment for single problems and complex, individualised care. The purpose of this paper is to examine the evolving nature of dual diagnosis initiatives in an Australian state during recent decades. Design/methodology/approach: Interpretive, case study analysis of policy documents and key informant interviews (19) illuminates the experience of dual diagnosis initiatives. Findings: In the case of Victoria, dual diagnosis responsiveness has evolved slowly over the last 20 years, delayed by the inherent difficulty of practice change, a weak perception of need, interprofessional tensions and shortcomings in data collection, coordination and resources. Key enablers have been champions and leaders in policy, management and clinical practice, directive government policy and targeted funding. Achieving a wrap-around service system entails investment in interpersonal relationship-building and stigma reduction, as well as technical or structural changes. Originality/value: The paper presents a unique and independent view of a 20-year period and indicates progress in attitudinal change that merits wider acknowledgement and application to other settings throughout health and social care.

Purpose: The integration of health or social services is an enduring challenge and especially so in relation to people experiencing "dual diagnosis", the co-occurrence of mental health and substance use problems. The emergence of the "dual diagnosis" concept has highlighted the tension between specialist treatment for single problems and complex, individualised care. The purpose of this paper is to examine the evolving nature of dual diagnosis initiatives in an Australian state during recent decades. Design/methodology/approach: Interpretive, case study analysis of policy documents and key informant interviews (19) illuminates the experience of dual diagnosis initiatives. Findings: In the case of Victoria, dual diagnosis responsiveness has evolved slowly over the last 20 years, delayed by the inherent difficulty of practice change, a weak perception of need, interprofessional tensions and shortcomings in data collection, coordination and resources. Key enablers have been champions and leaders in policy, management and clinical practice, directive government policy and targeted funding. Achieving a wrap-around service system entails investment in interpersonal relationship-building and stigma reduction, as well as technical or structural changes. Originality/value: The paper presents a unique and independent view of a 20-year period and indicates progress in attitudinal change that merits wider acknowledgement and application to other settings throughout health and social care.

Partners raising children are significantly impacted by living with a veteran who has posttraumatic stress disorder (PTSD). This qualitative study explored the parenting and family experiences of partners to veterans with military-PTSD. In-depth interviews were conducted with eight female partners, caring for at least one child below the age of 18 years. Thematic analysis produced four primary themes around parenting, (dis)connection, family identity, and unpredictability. A number of contrasting concepts such as feeling unsupported, yet reluctance to access support, highlighted the complexity of partner experiences. Clear recommendations arose from the study including greater in inclusion in health care, the need for upskilling of service providers and educators in area of family and parenting issues, and clearer pathways for spouses and families to access information.

Purpose
The purpose of this paper is to examine the perspectives of local residents regarding the impact of the long-duration Hazelwood open cut coal mine fire in rural Australia.


Design/methodology/approach
A qualitative approach was undertaken involving 27 in-depth interviews with adults who lived in the town of Morwell, immediately adjacent to the coal mine fire.


Findings
Participant concerns focussed upon fear and confusion during the event, the perceived health effects of the smoke, anger towards authorities and loss of a sense of community and sense of security. One of the significant ways in which people managed these responses was to normalise the event. The long duration of the event created deep uncertainty which exaggerated the impact of the fire.


Research limitations/implications
Understanding the particular nature of the impact of this event may assist the authors to better understand the ongoing human impact of long-duration disasters in the future.


Practical implications
It is important to provide clear and understandable quality information to residents during and after such disasters.


Originality/value
While there is an extensive literature exploring the direct social and psychological impacts of acute natural disasters, less qualitative research has been conducted into the experiences of longer term critical events.